Provider Demographics
NPI:1063672467
Name:KURRELL, AUBREY MARIE (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:AUBREY
Middle Name:MARIE
Last Name:KURRELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9547 ROUTE 104
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:17853-8720
Mailing Address - Country:US
Mailing Address - Phone:570-539-8395
Mailing Address - Fax:
Practice Address - Street 1:200 TAYLORSVILLE MOUNTAIN ROAD
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:PA
Practice Address - Zip Code:17964
Practice Address - Country:US
Practice Address - Phone:570-644-0489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010611225X00000X
FLOT12183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist